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![]() PERVASIVE LABELLING DISORDER David A. Levy, Ph.D. Pepperdine University A Proposed Category for the Diagnostic Statistical Manual of Mental Disorders (DSM): Pervasive Labeling Disorder by David A. Levy Ph.D. (Originally from the Journal of Humanistic Psychology). The purpose of this article is to propose a new diagnostic category for inclusion in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, better known as the DSM. As noted in its current edition (American Psychiatric Association, 1987), the DSM should be viewed as "only one still frame in the ongoing process of attempting to better understand mental disorders." The category proposed here represents a significant contribution to the composition of the next still frame by focusing on one of the most ubiquitous, yet least recognized, of all mental disorders. 409.00 PERVASIVE LABELING DISORDER Essential features The essential features of this mental disorder are (1) an uncontrollable impulse, drive or temptation to invent labels and apply them to other people; (2) a repetitive pattern of trying to fit people into preconceived categories; (3) an increasing sense of fear or inadequacy before committing the act; (4) an experience of overwhelming triumph and relief at the time of committing the act. Manifestations of the disorder appear in many situations but are especially likely to occur when the person with Pervasive Labeling Disorder (PLD) feels uncomfortable around other people. The person then spontaneously assigns a label to others, thus viewing them as "types" rather than as human beings. Because the disorder serves to control other people and to keep them at a distance, it provides the person with the temporary illusion of both superiority and safety. Associated features People with PLD frequently display marked signs of arrogance, smugness, grandiosity, and a sense of personal entitlement. They exhibit an especially condescending attitude towards others who do not share this mental disorder. These persons derive immense pride from inventing seemingly incisive and articulate (yet ambiguous and indecipherable) pseudoscientific neologisms. When called upon to explain the precise meaning of these newly created labels, however, they typically display peculiar speech patterns, including catatonic silence, stammering and cluttering; verbal perserveration on the label, coupled with poverty of content of speech; and psychomotor agitation, such as engaging in beard stroking, head shaking, or eye-rolling behaviors. Persons with PLD operate under the delusional belief that, by having named something, they have therefore explained it (i.e., Delusional Disorder, Nominal Type). Research indicates that many persons with PLD are exceptionally adept at seeing in other people the flaws they cannot see in themselves. Prevalence PLD is widespread throughout all sectors of society, but many people have found a means to obtain reinforcements for this disorder in socially acceptable ways by becoming psychiatrists, psychoanalysts, psychologists, astrologists, Scientologists, evangelists, cult leaders, authors of self-help books, politicians, and even interview guests on television and radio shows. Age at onset Despite its prevalence, the disorder is usually not recognized until the person has attained a position of social power. Course Recovery from PLD rarely occurs once the person's annual income exceeds six figures. Complications Because persons with chronic and severe cases of PLD are incapable of achieving and maintaining any type of human bonding, they rarely have any real friends. Predisposing factors Vulnerability to this disorder is directly correlated to the extent to which one has a fear of one's own feelings. When PLD is found in psychotherapists, it typically serves to mask their deeply hidden and nagging fears that they haven't the faintest idea as to how to help their patients. Differential diagnosis Obsessive/Compulsive Personality Disorder, Social Phobia, and Delusional Disorder (Grandiose Type) are related to, and therefore sometimes difficult to distinguish from Pervasive Labeling Disorder. To ensure diagnostic validity, flipping a coin, tossing the ] Ching, or utilizing the eenie-meenie-meinie-moe method is recommended. TYPES OF PERVASIVE LABELING DISORDER 409.01 - Pervasive Labeling Disorder with Narcissistic Personality Features. This category should be used for the person with PLD whom you think has too much self-esteem. 409.02 - Pervasive Labeling Disorder with Co-Dependency Personality Features. This category should be used for the person with PLD whom you think has too much empathy. 409.03 - Pervasive Labeling Disorder with Histrionic Personality Features. This category should be used for the person with PLD whom you think is not emotional enough. 409.05 - Pervasive Labeling Disorder with Neurotic Personality Features. This category should be used for the person with PLD whom you think feels too much guilt. 409.06 - Pervasive Labeling Disorder with Antisocial Personality Features. This category should be used for the person with PLD whom you think doesn't feel enough guilt. 409.07 - Pervasive Labeling Disorder with Borderline Personality Features. This category should be used when the person with PLD is disliked intensely by others, especially unsuccessful psychotherapists. 409.08 - Pervasive Labeling Disorder with Adult-Child-of-Alcoholic Personality Features. This category should be used when the person with PLD came from parents who, in any way whatsoever, did not satisfy all of his or her needs as a child. 409.10 - Pervasive Labeling Disorder with Resistant Personality Features. This category should be used when the person with PLD doesn't do what you want him or her to do. 409.11 - Pervasive Labeling Disorder with Cognitive Slippage Features. This category should be used when the person with PLD doesn't do what you want him or her to do. 409.12 - Pervasive Labeling Disorder with Transference Features. This category should be used for psychotherapy patients with PLD who have any feelings whatsoever about their therapists. 409.13 - Pervasive Labeling Disorder with Countertransference Features. This category should be used for psychotherapists with PLD who have any feelings whatsoever about their patients. References: American Psychiatric Association. (1987) Diagnostic and statistical manual of mental disorders (3rd ed., rev.) Washington DC: Author. |
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